TWT Survey
Form

Please complete
the following survey form. Completion of this form DOES NOT constitue an agreement
as to enterance into a program but rather as general guide to the amount of
information that you posess in regards to the content of that program.

The sending
of this form relys on your current email account. If the machine that you
are using does not have email, then you will not be able to send the form.
It does not matter who the email account belongs to, as long as you have access
to an email program such as Outlook, etc.

Once you have
completed the form to your satisfaction, press the Submit button at the bottom
of the page and the form will be sent.

Name

Address

City, State, Zip

School

E-Mail address (the one
that you check daily).

Please fill out
the following. You can only pick one item per question. Please pick the one
that you feel is most applicable.

I can cut/copy/paste between
documents.

I don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I can attach a document
to an e-mail.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I feel comfortable looking
at HTML code.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I can copy a file from
one location to another.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I can perform a Meta-search
on the Internet.

I
don't know but I'd like to learn moreNeverVery
seldomp
With
help
On my own
Not a Problem!

If I have a printing problem,
I can usually fix it myself.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I have created a web page
for myself or my class.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I have created a Power
Point presentation.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I have set up a class
with Blackboard or WebCt.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

I feel comfortable loading
new software onto a computer.

I
don't know but I'd like to learn moreNeverVery
seldomWith
help
On my own
Not a Problem!

If you are not
happy with the way you filled out the survey, please press the Reset button
and this document will be blanked out.

Otherwise, please
press the Submit button for the survey to be processed through your current
email account.